ESCRS - FP09.09 - Patient Reported Outcomes In Refractive Lens Exchange Subjects Implanted With A Wavefront-Shaping Presbyopia Correction Iol

Patient Reported Outcomes In Refractive Lens Exchange Subjects Implanted With A Wavefront-Shaping Presbyopia Correction Iol

Published 2023 - 41st Congress of the ESCRS

Reference: FP09.09 | Type: Free paper | DOI: 10.82333/mf3q-vv16

Authors: Alberto Villarrubia* 1 , Timoteo González-Cruces 1 , Vanesa Díaz 1 , David Cerdán 1 , Antonio Cano-Ortiz 1 , Caridad Pérez-Vives 2

1Anterior Segment, Cornea and Refractive Surgery,Hospital Arruzafa,Córdoba,Spain, 2Alcon Vision LLC,Barcelona,Spain

Purpose

 

To evaluate patient reported outcomes, visual acuity and refractive errors in subjects under refractive lens exchange surgery and implanted bilaterally with

AcrySof IQ Vivity or/and AcrySof IQ Vivity Toric IOL.

Setting

 

Sub-group analysis of a multicenter, ambispective registry study conducted in Europe, Australia and New Zealand evaluating the performance of refractive lens exchange subjects bilaterally implanted with AcrySof IQ Vivity and/or AcrySof IQ Vivity Toric IOL in a real world setting through routine clinical practice.

Methods

 

Patient reported outcomes were evaluated through validated questionnaires, such as Catquest SF-9 for patient’s satisfaction and IOLSAT for spectacle independence at different distances and light illumination. Visual disturbances were also evaluated through a non-prompted interview. Binocular uncorrected and distance corrected visual acuities at distance, intermediate (66 cm) and near (40 cm) were also measured (UCDVA/BCDVA, UCIVA/DCIVA and UCNVA/DCNVA) at study entry visit (3 to 6 months post-implantation).

Results

 

A total of 84 subjects (9.2% of the overall study population) had both eyes with refractive lens exchange surgery. At study entry visit (3-6 months postoperatively) 74.7% and 80% of RLE subjects reported no difficulty seeing the prices of goods when shopping and seeing to engage in a hobby that you are interested in, respectively. Overall satisfaction was high, 84.3% reported to be satisfied with their sight. In terms of spectacle independence 58.3% reported never using spectacles up close, 77.8% at arm’s length and 86.9% far away. No halos, glare and starbursts were reported by 88.1%, 83.3% and 91.7%, respectively. Binocular mean logMAR (SD) UCDVA, UCIVA and UCNVA were -0.003 (0.087), 0.054 (0.140) and 0.216 (0.150), respectively.

Conclusions

This sub-group analysis of refractive lens exchange patients implanted bilaterally with AcrySof IQ Vivity shows excellent patient satisfaction with no difficulty to perform daily activities, high spectacle independence and very low visual disturbances. These outcomes showed AcrySof IQ Vivity is a good option for refractive lens exchange candidates that want to have presbyopia correction with low visual disturbance risk.